Publications by authors named "J Robert Cantey"

This white paper provides clinicians and hospital leaders with practical guidance on the prevention and control of viral respiratory infections in the neonatal intensive care unit (NICU). This document serves as a companion to Centers for Disease Control and Prevention Healthcare Infection Control Practices Advisory Committee (HICPAC)'s "Prophylaxis and Screening for Prevention of Viral Respiratory Infections in Neonatal Intensive Care Unit Patients: A Systematic Review." It provides practical, expert opinion and/or evidence-based answers to frequently asked questions about viral respiratory detection and prevention in the NICU.

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Objectives: To document the case-fatality rate (CFR) of congenital syphilis diagnosed by molecular tools and rabbit infectivity testing (RIT) of clinical specimens in addition to standard evaluation and to compare that with the CFR using the Centers for Disease Control and Prevention (CDC) surveillance case definition.

Study Design: Prospective, single site, cohort study of all cases of syphilis among mothers and their infants from 1984 to 2002. The diagnosis of congenital syphilis was determined using IgM immunoblotting, polymerase chain reaction, and RIT of fetal or infant specimens in addition to clinical, laboratory, and radiographic criteria.

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Article Synopsis
  • A quality improvement project aimed to reduce unnecessary blood tests and antibiotics for infants exposed to chorioamnionitis by using the Kaiser Sepsis Calculator (KSC) at a Texas health facility.
  • After implementing the KSC, testing rates for complete blood counts (CBC) decreased significantly from 96% to 27%, and blood cultures (BCx) from 98% to 37%.
  • The program successfully lowered antibiotic use from 25% to 16%, without missing any cases of early onset sepsis, demonstrating the effectiveness of a nurse-led approach to improve care for these infants.
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